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267 i ZONING INSPECTOR � ICE OF THE OFF RO Building PERMIT N0. 26'] i "lovember 201 1968to ci Date Issued '.:. . . . . .. .. . . .. . . .... . . . . Date- Denied o .. . . . . . . . . . .. . . . ,° .. • .. . h VJ Owner . .'9-,41Lo 414 lat-xs . . r1Q. . . . . .. . .... .:. . ca r I6 Greenway Dri ve, Glens F'al'ls I .Y: Address . . . . . . . . . • . . ... . 4 • •• • • • •.: . .... . . . . .. . .. . . . :. . . . ..'. . . . .' ; 1.0 Haven Lane�. �ueensbur'y Location .:. . . :. :. . . . . . . . .. . .. • • .. . . • . . . . . . . . . . . ... . .. .. • . . . .' r �� ��. . • • . • •• . . •.�. • .. . • • . • • . . . . . • • . .. . . •• • •. . •• .. . . . . • • • • • • . • . • . . Type of Construction - Wood frame, �jKXAV0=XXXo .''". . . • •I• •. •. . • .'.. . •• . . . . .. .. . . . . . . • . . . .. .. .. • • .. • . •. . .. ' Proposed Use D Iling. . .: . . .'. . . . .. . . .. :. . . . :.. .. . . . . r, Architect .. . . . . . . . . .;. .. . .. .. . ... . . . . Address .. .. . . . . . .. . .. . . .. . .. . . Builder . . . . . . . . . .. G. ,R R•. .B �t 'r� . .•.'.... . ..... .. . . .. •-.. '16' Greenway Drive Glens Fa11s f,QAddress:';' , . . . . . . . . . . . . . . . . . .. . . • . �. .. . . . • • •, .. .• .2 . . Plans.:.•and ,Specifications No. . . . . . . . . . . . •. .. . . Application No . . . .. • • Wl 1 I ill, PERMISSION is hereby granted to the above owner for the con- struction of a'building in accordance to application ,No together Withplot plans and other information hereto filed and approved, and in compliance with the Town of Queensbury Zoning Ordinance. Date- Building Permit Shall Expire. October, r l. . . : •19. Permit Fee $..TO.00.. .. . . �ning• �AZ Form # 4 ,� „ Q^ TOWN Ot- CtUEENSBURY L Warren County, New York Office of the Zoning Inspector tiIgl;�i�:�ll? Od�OAPPLICATION FOR A BUILDING PERMIT Location of Property.��. ./ . . ... .. .. . . . . . . . .Road, Street, or Avenue Application No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed. . . . . . . . . 19. . . . . . Plan No. . . . . . . . . . . . .� .Permit' No. . . . .��. . Owner.Ni i . .. . . .`. . . . . . . . . . . . . . . . . . . . . . Architect. . . . . . . . . . . . . . . . . . .,. . . ` . . . . . . . . . . . . . . . . . . . . . Builder. . .y:. . l.: : . ... . .. . . . . . . . . . ..c .rj�. .�. .`. . . . . ,y. Type of Building. . . . . . .Z: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building to be.,2. . .Feet Wide .�?...y. . .Feet Long. . .2. . . . .Stories High Estimated Cost of Building. . . . . . .w. . . . . o . . . . . . . . . . . . . . . . . . . . . . . . • • • • • • Proposed Use of Building. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Are There Any Other Buildings on the Premises?. ..�':v . . . . . . . . . . . . . . . . . . . . Is Any Existing Building to be Demolished?.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Is the Work. New Construction, Repairs, dr Remodeling?., . . . . . . . . . . . . . . . Date Building Permit Shall Expire. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. . . Three copies of a plot plan drawn to scale showing the actual dimen- sions of the lot to be built upon, the exact size and location on the lot of the building and accessory buildings to be erected are attached to this application. The undersigned hereby agrees to comply in the said construction with all the provisions of the Zoning Ordinance as adopted, of the Town of Queensbury. (If permit is granted it will be on condition that building or al- terations shall be completed at date to be fixed by Zoning Inspector, and if not so completed permit shall be revoked by him. ) REMARKS: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I hereby agree that all work and materials will be in strict con- formity with the laws governing building in this Town, and further agree to post conspicuously a copy of the Building Permit, pro ected from the weather, on the premisies affected. .a',,' 4 a. 6 ° . . . . . . . . . . . . . . . . . . . . . . . . . (Sign�tu e) 1 0-0 ------ --- ------ --------------- Owner, Contractor, rchitect or Agent (Strike out in ppropr' ate Provision) i fC e i